Organization
KSIM 'LLC'
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A DAVIS (OWNER)
(216) 772-7187
Entity
Organization
Contact information
Practice address
27300 EUCLID AVE APT 2, EUCLID, OH 44132-3405
(216) 780-3204
Mailing address
27300 EUCLID AVE APT 2, EUCLID, OH 44132-3405
(216) 780-3204
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
RP928998
OH
Other
Enumeration date
04/10/2009
Last updated
02/20/2012
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